Individual
MICHAEL RAISHOUNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
717 N 3RD ST, LOGANSPORT, IN 46947-2653
(574) 722-2289
Mailing address
717 N 3RD ST, LOGANSPORT, IN 46947-2653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302416978
MI
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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